AMY LYNN SMITH (APN) – Nurse Practitioner, NPI 1619435252
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
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Provider Addresses for AMY LYNN SMITH (APN)
28 N 42ND RD
MENDOTA, IL 613429653
Phone: (815) 228-1351
Type: Mailing
Illinois Valley Community Hospital, 925, West Street, Peru, LaSalle County, Illinois, 61354, United States
PERU, IL 613542757
Phone: (815) 223-3300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $133.
Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.
Last reported payment date: 2023-12-23 • Largest payer in this snapshot: Stryker Corporation ($109).
Total Amount
$133
General + Research + Ownership
Payments
3
Total payment records
General Amount
$133
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $109 |
| Inspire Medical Systems, Inc. | $24 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-06-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190627002711 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 26 | 26 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 16 | 16 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 14 | 14 | $0 |
Insurance plans in this area (ZIP 61342)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Internal Medicine | NY | |
| - | GA | |
| Internal Medicine | SC | |
| - | KY | |
| H O S P I T A L I S T | SC | |
| Internal Medicine, Hospitalist | TN | |
| Internal Medicine, Hospitalist | SC | |
| Hospitalist, Family Practice, Family Practice | VA | |
| Internal Medicine | GA |
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